Abdominothoracic Fistulas due to Complicated Echinococcosis
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Georg Thieme Verlag Kg
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose Abdominothoracic fistulas are severe complications of hydatid disease. We report here on the results of surgical treatment of hydatid abdominopleural fistulas in 6 patients. Material and Methods Between 2004 and 2010, 6 patients with abdominothoracic fistulas (ATF) were treated. The patients were 3 men and 3 women (age range: 4762 years; median age: 57.1 years). The main symptoms were dyspnea, chest pain, cough, purulent sputum, high fever in 4 patients and additionally bilioptysis in 2. Fistulas were left abdominopulmonary in 1, hepatopulmonary in 2 and hepatopleural in 3 patients. Results Five patients were operated for ATF and 1 patient was treated with tube thoracostomy. In 4 patients, liver dome hydatid cyst abscesses were exposed through a right thoracophrenotomy, a first left thoracophrenotomy was performed in 1 patient followed by a second left lower lobectomy due to a destroyed lobe. Tube thoracostomy and percutaneous transhepatic drainage was applied successfully in Patient #5. All patients were discharged from hospital in good health. Our strategy consisted of adequate evacuation of the intrahepatic cyst with dissection and closure of the fistula via thoracophrenotomy. Discussion ATF due to hydatid cyst is uncommon. In rare cases ATF may be present at the abdominal, thoracic or diaphragmatic level. Thoracophrenotomy is the best surgical treatment for all three levels.
Açıklama
Anahtar Kelimeler
Surgery Complications, Bronchial Disease (Includes Injury, Stenosis, Tumor Etc.), Diaphragm, Pleural Disease (Incl. Drainage), Abdominopleural Fistula, Complication, Hydatid Cyst, Bronchobiliary Fistulas, Hydatid-Disease, Thoracobiliary Fistula, Liver, Management, Principles, Thorax, Cysts, Lung
Kaynak
Thoracic And Cardiovascular Surgeon
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
60
Sayı
2
